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Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0648T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0648T: Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure) during the same session; single organ

Code
0648T
Description
Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure) during the same session; single organ
Source
New Hampshire Precertification List, Pg 66 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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